HESI COMPREHENSIVE EXIT EXAM LATEST
2025 REAL EXAM COMPLETE 150 QUESTIONS
AND CORRECT DETAILS (VERIFIED ANSWERS)
|ALREADY GRADED A+
1- A client with depression is anorexic. Which measure does the nurse take to
assist the client in meeting nutritional needs?
A. Providing food and fluid as the client requests
B. Offering high-calorie and high-protein foods and fluids frequently throughout
the day
C. Completing the dietary menu for the client to ensure that adequate nutrition is
provided
D. Weighing the client daily so that the client may determine whether the
nutritional plan is working - ANSWER ✔✔- B. Offering high-calorie and high-
protein foods and fluids frequently throughout the day
2-A client is scheduled to undergo an upper gastrointestinal (GI) series, and the
nurse provides instructions to the client about the test. Which statement by the
client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give myself a
Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because the liquid that I'll
have to drink for the test can be constipating." - ANSWER ✔✔- C. "I need to drink
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,citrate of magnesia the night before the test and give myself a Fleet enema on the
morning of the test."
An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a
contrast medium (usually barium), which is administered in a flavored milkshake.
Films are taken at intervals during the test, which takes about 30 minutes. No
special preparation is necessary before a GI series, except that NPO status must be
maintained for 8 hours before the test. After an upper GI series, the client is
prescribed a laxative to hasten elimination of the barium. Barium that remains in
the colon may become hard and difficult to expel, leading to fecal impaction.
3-A client who has undergone extensive gastrointestinal surgery is receiving
intermittent enteral tube feedings that will be continued after he is discharged
home. When the nurse tells the client that he will be taught how to administer the
feedings, the client states, "I don't think I'll be able to do these feedings by myself."
Which response by the nurse is appropriate?
A. "Have you told your doctor how you feel?"
B. "Tell me more about your concerns regarding the tube feedings."
C. "Don't worry. We'll keep you in the hospital until you're ready to do them by
yourself."
D. "We'll ask the doctor about having a visiting nurse come to your home to give
you your feedings." - ANSWER ✔✔- B. "Tell me more about your concerns
regarding the tube feedings."
4.A nurse reviews the laboratory results of a hospitalized pregnant client with a
diagnosis of sepsis who is at risk for disseminated intravascular coagulopathy
(DIC). Which laboratory finding would indicate to the nurse that DIC has
developed in the client?
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,A. Increased platelet count
B. Shortened prothrombin time
C. Positive result on d-dimer study
D. Decreased fibrin-degradation products - ANSWER ✔✔- C. Positive result on d-
dimer study
5.NPO status is imposed 8 hours before the procedure on a client scheduled to
undergo electroconvulsive therapy (ECT) at 1 p.m. On the morning of the
procedure, the nurse checks the client's record and notes that the client routinely
takes an oral antihypertensive medication each morning. The nurse should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day after the
ECT - ANSWER ✔✔- A. Administer the antihypertensive with a small sip of
water
6 A client who recently underwent coronary artery bypass graft surgery comes to
the physician's office for a follow-up visit. On assessment, the client tells the nurse
that he is feeling depressed. Which response by the nurse is therapeutic?
A. "Tell me more about what you're feeling."
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over this depression."
D. "Every client who has this surgery feels the same way for about a month." -
ANSWER ✔✔- A. "Tell me more about what you're feeling."
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, 7 A client in labor experiences spontaneous rupture of the membranes. The nurse
immediately counts the fetal heart rate (FHR) for 1 full minute and then checks the
amniotic fluid. The nurse notes that the fluid is yellow and has a strong odor.
Which of the following actions should be the nurse's priority?
A. Contacting the physician
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR - ANSWER ✔✔- A. Contacting
the physician Correct
8 A nurse has assisted a physician in inserting a central venous access device into a
client with a diagnosis of severe malnutrition who will be receiving parenteral
nutrition (PN). After insertion of the catheter, the nurse immediately plans to:
A. Call the radiography department to obtain a chest x-ray
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr to
maintain patency - ANSWER ✔✔- A. Call the radiography department to obtain a
chest x-ray
9 A rape victim being treated in the emergency department says to the nurse, "I'm
really worried that I've got HIV now." What is the appropriate response by the
nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
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2025 REAL EXAM COMPLETE 150 QUESTIONS
AND CORRECT DETAILS (VERIFIED ANSWERS)
|ALREADY GRADED A+
1- A client with depression is anorexic. Which measure does the nurse take to
assist the client in meeting nutritional needs?
A. Providing food and fluid as the client requests
B. Offering high-calorie and high-protein foods and fluids frequently throughout
the day
C. Completing the dietary menu for the client to ensure that adequate nutrition is
provided
D. Weighing the client daily so that the client may determine whether the
nutritional plan is working - ANSWER ✔✔- B. Offering high-calorie and high-
protein foods and fluids frequently throughout the day
2-A client is scheduled to undergo an upper gastrointestinal (GI) series, and the
nurse provides instructions to the client about the test. Which statement by the
client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give myself a
Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because the liquid that I'll
have to drink for the test can be constipating." - ANSWER ✔✔- C. "I need to drink
1|Page
,citrate of magnesia the night before the test and give myself a Fleet enema on the
morning of the test."
An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a
contrast medium (usually barium), which is administered in a flavored milkshake.
Films are taken at intervals during the test, which takes about 30 minutes. No
special preparation is necessary before a GI series, except that NPO status must be
maintained for 8 hours before the test. After an upper GI series, the client is
prescribed a laxative to hasten elimination of the barium. Barium that remains in
the colon may become hard and difficult to expel, leading to fecal impaction.
3-A client who has undergone extensive gastrointestinal surgery is receiving
intermittent enteral tube feedings that will be continued after he is discharged
home. When the nurse tells the client that he will be taught how to administer the
feedings, the client states, "I don't think I'll be able to do these feedings by myself."
Which response by the nurse is appropriate?
A. "Have you told your doctor how you feel?"
B. "Tell me more about your concerns regarding the tube feedings."
C. "Don't worry. We'll keep you in the hospital until you're ready to do them by
yourself."
D. "We'll ask the doctor about having a visiting nurse come to your home to give
you your feedings." - ANSWER ✔✔- B. "Tell me more about your concerns
regarding the tube feedings."
4.A nurse reviews the laboratory results of a hospitalized pregnant client with a
diagnosis of sepsis who is at risk for disseminated intravascular coagulopathy
(DIC). Which laboratory finding would indicate to the nurse that DIC has
developed in the client?
2|Page
,A. Increased platelet count
B. Shortened prothrombin time
C. Positive result on d-dimer study
D. Decreased fibrin-degradation products - ANSWER ✔✔- C. Positive result on d-
dimer study
5.NPO status is imposed 8 hours before the procedure on a client scheduled to
undergo electroconvulsive therapy (ECT) at 1 p.m. On the morning of the
procedure, the nurse checks the client's record and notes that the client routinely
takes an oral antihypertensive medication each morning. The nurse should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day after the
ECT - ANSWER ✔✔- A. Administer the antihypertensive with a small sip of
water
6 A client who recently underwent coronary artery bypass graft surgery comes to
the physician's office for a follow-up visit. On assessment, the client tells the nurse
that he is feeling depressed. Which response by the nurse is therapeutic?
A. "Tell me more about what you're feeling."
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over this depression."
D. "Every client who has this surgery feels the same way for about a month." -
ANSWER ✔✔- A. "Tell me more about what you're feeling."
3|Page
, 7 A client in labor experiences spontaneous rupture of the membranes. The nurse
immediately counts the fetal heart rate (FHR) for 1 full minute and then checks the
amniotic fluid. The nurse notes that the fluid is yellow and has a strong odor.
Which of the following actions should be the nurse's priority?
A. Contacting the physician
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR - ANSWER ✔✔- A. Contacting
the physician Correct
8 A nurse has assisted a physician in inserting a central venous access device into a
client with a diagnosis of severe malnutrition who will be receiving parenteral
nutrition (PN). After insertion of the catheter, the nurse immediately plans to:
A. Call the radiography department to obtain a chest x-ray
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr to
maintain patency - ANSWER ✔✔- A. Call the radiography department to obtain a
chest x-ray
9 A rape victim being treated in the emergency department says to the nurse, "I'm
really worried that I've got HIV now." What is the appropriate response by the
nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
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